Irina Kalantarova PA

NPI 1104866557 - Physician Assistant - 363AM0700X

NPI Details
NPI 1104866557
Gender Female
Enumeration Date 06/07/2006
Last Updated 11/14/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
7035 113TH ST
FOREST HILLS NY, 11375-4651, US
Phone (718) 990-4648
Fax (718) 990-4414
Business Location
PO BOX 1471
BUFFALO NY, 14240-1471, US
Phone (800) 795-5820
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 008566
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According to our database, Irina Kalantarova PA NPI is 1104866557, taxonomy code is 363AM0700X and license number is 008566, license state is located at New York. Irina Kalantarova PA physically located at 7035 113th St, Forest Hills NY, 11375-4651. NPI Number Irina Kalantarova PA has the Individual type.

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1104866557 NPI number is provided on an as is basis without warranty of any kind. 1104866557 is maintained by the National Plan & Provider Enumeration System. The contents of Irina Kalantarova PA are for informational purposes only.